Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Wyoming for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Wyoming only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Wyoming (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Western Ambulatory Surgery LLC (NPI 1447293113)

Field	Value
Entity Type	Organization
Organization	Western Ambulatory Surgery LLC
Address	1421 Wilkins Cir
City	Casper
State	WY
ZIP	82601
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	June 13, 2006

Payer Source	Total Paid
Medicare	$365.4K
Medicaid	$0

Key Findings

This entity is effectively a Medicare-focused ambulatory surgical center: Total Medicare revenue is $365.4K while Total Medicaid revenue is none (no Medicaid billing on file), indicating the practice bills only Medicare in the datasets provided and operates as an effectively single-payer (Medicare) provider in our records. The NPI was enumerated on 2006-06-13 (~20 years ago), indicating long-standing enrollment and continuity of operations.

Revenue is highly concentrated in a narrow set of ophthalmic procedures: the precomputed top 3 Medicare codes by revenue account for 100.0% of this provider's total Medicare revenue, signaling that nearly all Medicare dollars derive from a very small procedure mix. This concentration suggests limited service-line diversification and a dependency on the performance and demand for those specific procedures.

The code 66984 (cataract surgery with intraocular lens insertion) is the dominant single revenue driver, with 368 claims, $853 avg paid/claim, and $313.9K revenue, representing 85.9% of the provider's Medicare revenue. Nationally this provider ranks #3530 of 15965 (78th percentile) for 66984 and the dataset labels this standing as "typical, unremarkable volume for this code," supporting the characterization that the center performs routine volumes of primary cataract surgery compared with peers.

The secondary code 66821 (YAG laser capsulotomy) accounts for 249 claims, $207 avg paid/claim, and $51.5K revenue, or 14.1% of Medicare revenue. For 66821 the provider ranks #632 of 10087 (94th percentile) yet is also described as having "typical, unremarkable volume for this code," which indicates relatively higher placement on the percentile scale without being flagged as an exceptional statistical outlier in the benchmarking labels provided.

The mix of codes (66984 and 66821) and their descriptions point to an ophthalmology-focused ambulatory surgical model: primary cataract extraction with IOL implantation plus post-cataract laser capsulotomy care are the core services. This pattern is consistent with an ambulatory surgical clinic/center specializing in cataract care and related minor procedural follow-up rather than a multi-specialty ASC.

Payer-mix implications are straightforward: with no Medicaid billing on file, the provider’s commercial and Medicaid exposure appears absent in the available claims, making Medicare the de facto operational payer source for analytics and risk assessment. Analysts should treat this profile as single-payer Medicare billing when modeling cash flow or service volumes unless supplemental state or private claims are discovered.

Competitive standing is modest-to-regional for its primary procedure set: the provider’s 78th percentile rank on 66984 indicates a solid but not dominant national presence for cataract surgery, while the 94th percentile positioning on 66821 suggests relatively stronger placement on that secondary procedure among national peers. Both codes are nonetheless described in the data as "typical, unremarkable volume for this code," which tempers interpretation toward routine practice rather than market leadership.

The large disparity in avg paid/claim between the two top codes ($853 for 66984 vs. $207 for 66821) underscores that most revenue is generated by the surgical cataract cases rather than follow-up laser procedures; given that 85.9% of Medicare revenue comes from 66984 alone, financial sensitivity to surgical case volumes for cataract extraction is a key operational risk for this provider.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
66984	The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…	370	$850	$313.9K
66821	The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.	250	$210	$51.5K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Wyoming Distribution

Western Ambulatory Surgery LLC — 1 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wyoming

Full comparison — all codes billed, vs. state median

2 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
66984	7	80	50	$410	$39.9K
66821	1	30	40	$220	$14.9K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Western Ambulatory Surgery LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Matthew Dodds	WY	Specialist	$387.2K	$0

Nearby Providers

Other providers in the same ZIP code as Western Ambulatory Surgery LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Of Wyoming	WY	Federally Qualified Health Center (FQHC)	$0	$14.8M
Bear Country Home Healthcare	WY	Home Health Agency	$0	$7.8M
Wyoming Independent Living Rehabilitation, Inc.	WY	Case Management Agency	$0	$4.7M
Wyoming Medical Center Inc	WY	General Acute Care Hospital	$0	$4.4M
Douglas Holmes	WY	Retina Specialist (Ophthalmology) Physician	$4.1M	$0
Emergency Medical Physicians PC	WY	Emergency Medicine Physician	$0	$4.1M
Acm Therapy Group LLC	WY	Occupational Therapist	$0	$3.6M
Emg Casper Pp LLC	WY	Assisted Living Facility	$0	$3.5M
Renewed Hope Foundation, Inc.	WY	Physical Therapist	$0	$2.6M
Optimal Physical Therapy, LLC	WY	Physical Therapy Clinic/Center	$0	$2.5M

Western Ambulatory Surgery LLC — Billing Profile & Reimbursement Data

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Western Ambulatory Surgery LLC — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References